| NPI | 1164967063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20235) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW022982) |
| Enumeration Date | 2016-12-31 |
| Last Update Date | 2024-01-18 |